Attachment A - Schedule of Pricing - Electrophoresis Protected.xlsx

XLSX spreadsheet 164 KB Posted

Attached to
6640--VISN 22 Electrophoresis Analysis CPT Federal contract opportunity
Solicitation number
36C26221Q1096
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22

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Other files attached to 6640--VISN 22 Electrophoresis Analysis CPT, newest first.
File Type Posted
36C26221Q1096 0001 RFQ Amendment.docx DOCX document
Attachment A - Schedule of Pricing - Electrophoresis v2.xlsx XLSX spreadsheet
Vendor Questions - Electrophoresis RFQ.xlsx XLSX spreadsheet
36C26221Q1096 0001_1.docx DOCX document
Attachment B - Statement of Work - Electrophoresis.docx DOCX document
Attachment E - Mandatory Training for VA Contractor Personnel.pdf PDF
Attachment D - VA Handbook 6500.6.pdf PDF
Attachment C - Business Associate Agreement Template.doc DOC document
36C26221Q1096.docx DOCX document

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Text version

1. VISN CPT

RATESVISN 22 ESTIMATED ANNUAL TEST VOLUMETOTALS
est. 3% increaseest. 3% increaseest. 3% increaseest. 3% increaseest. 3% increaseest. 3% increaseest. 3% increase(SUM of Column J-N)(Column H x Column R)(SUM of Column O-Q)(Column I x Column T)(SUM of Column J-Q)(Column S + Column U)
5 YEAR BASE TERM
Test DescriptionReagent CPTINSTRUMENTS / 5 year volume onlyOTHER HW SW/
5 year volumeService CostInstall / 5 Year VolumeTOTAL CPT (Years 1 -5)TOTAL CPT (Years 6 -8)BASE YEAR 1Base Year 2Base Year 3Base Year 4Base Year 5Option Year 1Option Year 2Option Year 3VISN 22 Estimated 5-Year Test TotalVISN 22 Estimated 5-Year Test Extended PriceVISN 22 Estimated Year 6-8 Test TotalVISN 22 Estimated Year 6-8 Test Extended Price (Reagent Service Only)VISN 22 Estimated Year 1-8 Test TotalVISN 22 Estimated 8-Year Test Extended Price
Serum Protein Electrophoresis - Capillary$2.0000$3.3358$1.1827$6.5181$0.4549$13.4916$8.518113,32213,72214,13414,55814,99415,44415,90816,38570,730$954,266.4447,737$406,629.37118,467$1,360,895.80
Urine Protein Electrophoresis - Capillary$1.7500$3.3358$1.1827$6.5181$0.4549$13.2416$8.26816,6536,8527,0587,2707,4887,7127,9448,18235,321$467,701.3823,838$197,098.7259,159$664,800.10
ImmunoTyping - Capillary$1.2500$3.3358$1.1827$6.5181$0.4549$12.7416$7.76814,3434,4734,6074,7454,8885,0345,1865,34123,057$293,776.8115,561$120,881.1038,618$414,657.91
IFE - Gel (reflex)$1.5000$3.3358$1.1827$6.5181$0.4549$12.9916$8.01815265425585755926106286472,793$36,283.851,885$15,113.754,678$51,397.60

Total 24,318 25,048 25,799 26,573 27,370 28,191 29,037 29,908 131,900 $1,752,028.48 89,021 $739,722.93 220,922 $2,491,751.41

&"-,Bold"ATTACHMENT C

2. EST ANNUAL SITE VOL

Long BeachPhoenix (incl. Prescott)San Diego (incl. Loma Linda)VA Greater Los AngelesTucsonNew MexicoVISN 22 TOTAL ANNUAL VOLUME
Est. Test Volume# of ControlsEst. 5% Repeat RateEstimated Annual Total VolumeEst. Test Volume# of ControlsEst. 5% Repeat RateEstimated Annual Total VolumeEst. Test Volume# of ControlsEst. 5% Repeat RateEstimated Annual Total VolumeEst. Test Volume# of ControlsEst. 5% Repeat RateEstimated Annual Total VolumeEst. Test Volume# of ControlsEst. 5% Repeat RateEstimated Annual Total VolumeEst. Test Volume# of ControlsEst. 5% Repeat RateEstimated Annual Total Volume
Serum Protein Electrophoresis - Capillary1,115500811,6961,7935001152,4082,4845001493,1332,2635001382,9011,296500901,886737500621,29913,322
Urine Protein Electrophoresis - Capillary315002755834550042887789500641,3531,265500881,853589500541,143317500418586,653
ImmunoTyping - Capillary2321001734946225036748733250491,032832250541,13643525034719242100173594,343
IFE - Gel (reflex)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01791041429711410411229- 0- 0- 0- 0526
- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Total1,3781,1001242,6022,6001,2501934,0434,0061,2502635,5194,5391,3542956,1882,4341,3541893,9771,2961,1001202,51624,844

3. REAGENT CPT

Test DescriptionPARTIAL COST PER TEST
(Cost of single test including all Reagents and Consumables Only)VISN22

ANNUAL VOLUME PER TEST

(VOLUME PROVIDED FOR INFORMATIONAL PURPOSES ONLY ---DO NOT PROVIDE AN EXTENDED OR PACKAGE COST)Please identify what Reagents and Consumables are required to run a single test
Serum Protein Electrophoresis - Capillary$2.000013,322(Example)
Urine Protein Electrophoresis - Capillary$1.75006,653(Example)
ImmunoTyping - Capillary$1.25004,343(Example)
ImmunoFixation - Gel (reflex)$1.5000526(Example)
24,844

4. INSTRUMENTS

InstrumentsPart/Product #CostLong BeachPhoenixSan DiegoVA Greater Los AngelesTucsonNew MexicoVISN 22
TOTAL QTYVISN 22

EXTENDED

COSTS

Instrument A1000 (example)$60,000.00001111116$360,000.0000
Instrument B2000 (example)$40,000.0000112$80,000.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
Contractor Misc- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
Total Cost$440,000.0000
5 Year CPT Cost$3.3358

5. OTHER

OTHER HARDWARE / SOFTWARE / SERVICES
(Do not include software licenses, include licenses in Service)Part/Product #CostLong BeachPhoenixSan DiegoTucsonWest
Los AngelesNew MexicoVISN 22
TOTAL QTYVISN 22

EXTENDED

COSTS

DESCRIPTION
middleware initial cost (Example)$ 20,000.001111116$120,000.00
Training Slot (Example)TR1$ 3,000.001111116$18,000.00
Training Slot (Example)TR2$ 3,000.001111116$18,000.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
0$0.00
Total Cost$156,000.00
5 Year CPT Cost$1.1827

6. SERVICE

Annual Service Cost (as outlined in SOW)Long BeachPhoenixSan DiegoTucsonWest Los AngelesNew MexicoTOTAL COST per TEST
Total Number of years =
8
Annual Service Cost (Example)$ 20,000.00$ 20,000.00$ 20,000.00$ 20,000.00$ 20,000.00$ 20,000.00$120,000.0000
Software License A (example)$ 10,000.00$ 10,000.00$ 10,000.00$ 10,000.00$ 10,000.00$ 10,000.00$60,000.0000
$0.0000
$0.0000
$0.0000
$0.0000
$0.0000
$0.0000
$0.0000
8 Year Total Service Cost$1,440,000.0000
CPT Addition to Service$6.51815

7. INSTALL

Base Equipment Installation RequirementsDescriptionCost
Long Beach(Example)$10,000.00
Phoenix(Example)$10,000.00
San Diego(Example)$10,000.00
VA Greater Los Angeles(Example)$10,000.00
Tucson(Example)$10,000.00
New Mexico(Example)$10,000.00
Total$60,000.00
5 Year CPT Cost$0.4549

8. IND ITEM COST

Item / ReagentItem number
OEMUnit of MeasureCOSTComments
Individual site move for LLLL1JB$15,000.0000(Example)
Individual site move for LBLB2JB$23,000.0000(Example)
Reagent Xx59604BX$300.0000(Example)

File details come from the government source that posted it. Updated .